Organization
PALMETTO REHABILITATION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J BATES PT (OWNER/PHYSICAL THERAPIST)
(803) 802-5855
Entity
Organization
Contact information
Practice address
105 BEN CASEY DR, SUITE 127, FORT MILL, SC 29708-8561
(803) 802-5855
Mailing address
105 BEN CASEY DR, SUITE 127, FORT MILL, SC 29708-8561
(803) 802-5855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4586
—
SC
Enumeration date
03/27/2006
Last updated
08/18/2020
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